| NPI | 1417348327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A141721) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: NY 281315) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2019-10-03 |